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What Causes Brown Color Urine?

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Posted on Fri, 16 Jan 2015
Question: I had blood in my urine due to a kidney stone yesterday morning. I made sure to drink plenty of water and after the stone dropped to my bladder my urine cleared up to a very light straw color. Into the night and now this morning my urine is a brown/tea color. There is no odor or foaminess to my urine and no pain while urinating or fever present. I do have a family history of kidney disease and liver disease. Should I be concerned or an I dehydrated?
doctor
Answered by Dr. Panagiotis Zografakis (7 hours later)
Brief Answer:
Brown color suggests liver disease

Detailed Answer:
Hello,

if you're certain that this is a brown color (like cognac, not dark yellow for example) then this is probably due to liver problems, so you should be concerned enough to investigate it. Since you were drinking a lot of water on purpose (that is without feeling thirsty), it's unlikely that your urine was too concentrated so there has to be another explanation.
Direct bilirubin when excreted in the urine turns its color to brown. Direct bilirubin is also responsible for the yellow discoloration of the skin and the eyes when liver problems occur. Increased direct bilirubin usually has to do with bile duct obstruction or drugs. You haven't mentioned your liver history in detail, so I cannot comment on that.
A urinalysis and blood tests (including direct bilirubin) will confirm or rule out this assumption.
Please also note that recent bleeding turns urine red. Blood clots that remain in the urine get a darker color that may resemble to your description. Clots are usually visible and the urine does not have a uniform appearance.
So testing for:
- blood urea and creatinine, bilirubin (total and direct), liver function tests
- urinalysis
will give us some very useful answers.

I hope I've helped!
If you'd like more information, please provide the details and I'll be glad to answer again.

Kind Regards!
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Panagiotis Zografakis (21 minutes later)
The concentration of color lessened as this day went on and I drank more water. The darkest periods where in the middle if the night and first couple urinations in the morning. I am not presenting any signs of jaundice and had been taking the maximum dosage of ibuprofen for about a week due to a pulled back muscle.

I am a carrier of HepB due to my mother being infected while I was born. However, i have not been at risk if an active infection my entire life.

Would any residual blood in my kidneys caused by my stone have turned my urine the tea color? And also, is having chronic stones a serious issue? Diring my first kidney stone (6 yrs ago) it was shown on my CT scan that I also have gallstones. After eliminating high fat and processed foods I havent had any issues with my gallbladder.

I hope this additional informations helps .
doctor
Answered by Dr. Panagiotis Zografakis (18 minutes later)
Brief Answer:
Helpful information

Detailed Answer:
Hi,

Thanks for the input.

If it is bilirubin indeed then the color is not expected to change, at least not within the same day, so a changing color (brighter) is a good sign. I would insist on testing though.
Being a carrier of hepatitis B virus is not a disease actually so no problems are expected, particularly since you haven't experienced relevant symptoms.
Ibuprofen may cause hepatotoxicity even without clinically important symptoms besides urine and skin discoloration.
As I've already mentioned, residual blood may cause discoloration of the urine. If I could evaluate the color of your urine myself, that would help a lot. If you could take a good quality picture with very good lighting, I would be able to give you a more accurate answer. Please use a transparent container and shoot it against white background.
Kidney stones can be of variable severity depending on their size, location or even contour. Their etiology is also important because even if removed or expelled, new stones can be formed under certain circumstances (excessive calcium in the urine, increased uric acid etc).

If you need further clarifications, please let me know!
Kind Regards!
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3810 Questions

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What Causes Brown Color Urine?

Brief Answer: Brown color suggests liver disease Detailed Answer: Hello, if you're certain that this is a brown color (like cognac, not dark yellow for example) then this is probably due to liver problems, so you should be concerned enough to investigate it. Since you were drinking a lot of water on purpose (that is without feeling thirsty), it's unlikely that your urine was too concentrated so there has to be another explanation. Direct bilirubin when excreted in the urine turns its color to brown. Direct bilirubin is also responsible for the yellow discoloration of the skin and the eyes when liver problems occur. Increased direct bilirubin usually has to do with bile duct obstruction or drugs. You haven't mentioned your liver history in detail, so I cannot comment on that. A urinalysis and blood tests (including direct bilirubin) will confirm or rule out this assumption. Please also note that recent bleeding turns urine red. Blood clots that remain in the urine get a darker color that may resemble to your description. Clots are usually visible and the urine does not have a uniform appearance. So testing for: - blood urea and creatinine, bilirubin (total and direct), liver function tests - urinalysis will give us some very useful answers. I hope I've helped! If you'd like more information, please provide the details and I'll be glad to answer again. Kind Regards!